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NPI Code Detail

MEDICARE: GLADYS NTARYIKE

MEDICARE: GLADYS NTARYIKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist37471TX

General Provider Information

NPI Number : 1528405974
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS NTARYIKE
Provider Business Mailing Address
First Line : 4100 STONE HOLLOW WAY
Second Line :
City : EULESS
State : TX
Zip : 76040-5593
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1155 N MAIN ST
Second Line :
City : EULESS
State : TX
Zip : 76039-2757
Country : US
Telephone Number : 817-354-2427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2013
Last Update Date : 05/24/2013

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Directions to “ GLADYS NTARYIKE ” Practice Location

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